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Investigation of dietary supplements prevalence as complementary therapy: Comparison between hospitalized psoriasis patients and non-psoriasis patients, correlation with disease severity and quality of life.

Abstract

OBJECTIVES

Psoriasis patients are often displeased with traditional medical treatments and they may self-prescribe dietary supplements as an alternative or complementary treatments. We aimed to investigate the prevalence of self-medication of dietary supplements among psoriasis and non-psoriasis cases and its impact on disease severity and quality of life.

DESIGN AND SETTING

This case-control study evaluated 252 records of psoriasis patients and 245 non-psoriasis cases. Dietary supplementation over last 30days and characteristics, including age, age at onset of disease, co-morbidities, smoking and education were recorded. Psoriasis area and severity index (PASI) and dermatology quality of life index (DLQI) were calculated. P value less than 0.05 was considered as significant level.

RESULTS

This study consisted 138 psoriasis (females; 54) and 138 non-psoriasis cases (females; 50), aged between 21 and 91 years. Among psoriasis patients, 72% reported using at least one of dietary supplements, which was different from non-psoriasis cases (25.36%, P=0.01). Multivitamin/mineral supplements (MVM) were the most frequent used dietary supplements (26.81%) and the most common reasons for the consumption of these supplements were to maintain and improve health. The consumption of folic acid (21.73%), omega-3 fatty acids or fish oil (10.14%), herbs (12.31%) and vitamin E (1.44%) had the most frequencies after MVM. No significant differences in PASI and DLQI were found among patients with consumption of different supplements (P>0.05). There was non-significant and negative correlation between education and use of supplements (P=0.21, r=-0.02).

CONCLUSIONS

Self-medicating of MVM over last 30days was prevalent among studied psoriasis patients. They took dietary supplements in order to improve and maintain their health.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Immunology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

    ,

    Immunology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

    ,

    Cutaneous Leishmaniasis Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

    ,

    Immunology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

    Allergy Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Electronic address: jabbarif@mums.ac.ir.

    Source

    MeSH

    Adult
    Aged
    Case-Control Studies
    Complementary Therapies
    Dietary Supplements
    Fatty Acids, Omega-3
    Female
    Folic Acid
    Hospitalization
    Humans
    Male
    Middle Aged
    Plant Extracts
    Psoriasis
    Quality of Life
    Self Care
    Severity of Illness Index
    Surveys and Questionnaires
    Vitamin E
    Vitamins
    Young Adult

    Pub Type(s)

    Comparative Study
    Journal Article

    Language

    eng

    PubMed ID

    28735828

    Citation

    Yousefzadeh, Hadis, et al. "Investigation of Dietary Supplements Prevalence as Complementary Therapy: Comparison Between Hospitalized Psoriasis Patients and Non-psoriasis Patients, Correlation With Disease Severity and Quality of Life." Complementary Therapies in Medicine, vol. 33, 2017, pp. 65-71.
    Yousefzadeh H, Mahmoudi M, Banihashemi M, et al. Investigation of dietary supplements prevalence as complementary therapy: Comparison between hospitalized psoriasis patients and non-psoriasis patients, correlation with disease severity and quality of life. Complement Ther Med. 2017;33:65-71.
    Yousefzadeh, H., Mahmoudi, M., Banihashemi, M., Rastin, M., & Azad, F. J. (2017). Investigation of dietary supplements prevalence as complementary therapy: Comparison between hospitalized psoriasis patients and non-psoriasis patients, correlation with disease severity and quality of life. Complementary Therapies in Medicine, 33, pp. 65-71. doi:10.1016/j.ctim.2017.06.005.
    Yousefzadeh H, et al. Investigation of Dietary Supplements Prevalence as Complementary Therapy: Comparison Between Hospitalized Psoriasis Patients and Non-psoriasis Patients, Correlation With Disease Severity and Quality of Life. Complement Ther Med. 2017;33:65-71. PubMed PMID: 28735828.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Investigation of dietary supplements prevalence as complementary therapy: Comparison between hospitalized psoriasis patients and non-psoriasis patients, correlation with disease severity and quality of life. AU - Yousefzadeh,Hadis, AU - Mahmoudi,Mahmoud, AU - Banihashemi,Mahnaz, AU - Rastin,Maryam, AU - Azad,Farahzad Jabbari, Y1 - 2017/06/23/ PY - 2016/10/05/received PY - 2017/02/04/revised PY - 2017/06/20/accepted PY - 2017/7/25/entrez PY - 2017/7/25/pubmed PY - 2017/9/2/medline KW - Complementary medicine KW - Dietary supplements KW - Multivitamin KW - Psoriasis KW - Self-medication SP - 65 EP - 71 JF - Complementary therapies in medicine JO - Complement Ther Med VL - 33 N2 - OBJECTIVES: Psoriasis patients are often displeased with traditional medical treatments and they may self-prescribe dietary supplements as an alternative or complementary treatments. We aimed to investigate the prevalence of self-medication of dietary supplements among psoriasis and non-psoriasis cases and its impact on disease severity and quality of life. DESIGN AND SETTING: This case-control study evaluated 252 records of psoriasis patients and 245 non-psoriasis cases. Dietary supplementation over last 30days and characteristics, including age, age at onset of disease, co-morbidities, smoking and education were recorded. Psoriasis area and severity index (PASI) and dermatology quality of life index (DLQI) were calculated. P value less than 0.05 was considered as significant level. RESULTS: This study consisted 138 psoriasis (females; 54) and 138 non-psoriasis cases (females; 50), aged between 21 and 91 years. Among psoriasis patients, 72% reported using at least one of dietary supplements, which was different from non-psoriasis cases (25.36%, P=0.01). Multivitamin/mineral supplements (MVM) were the most frequent used dietary supplements (26.81%) and the most common reasons for the consumption of these supplements were to maintain and improve health. The consumption of folic acid (21.73%), omega-3 fatty acids or fish oil (10.14%), herbs (12.31%) and vitamin E (1.44%) had the most frequencies after MVM. No significant differences in PASI and DLQI were found among patients with consumption of different supplements (P>0.05). There was non-significant and negative correlation between education and use of supplements (P=0.21, r=-0.02). CONCLUSIONS: Self-medicating of MVM over last 30days was prevalent among studied psoriasis patients. They took dietary supplements in order to improve and maintain their health. SN - 1873-6963 UR - https://www.unboundmedicine.com/medline/citation/28735828/Investigation_of_dietary_supplements_prevalence_as_complementary_therapy:_Comparison_between_hospitalized_psoriasis_patients_and_non_psoriasis_patients_correlation_with_disease_severity_and_quality_of_life_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0965-2299(16)30233-3 DB - PRIME DP - Unbound Medicine ER -